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245759 06/03/15 0�pr„C,gH CITY OF CARMEL, INDIANA VENDOR: 363613 �` ONE CIVIC SQUARE BOB'S CO2 CHECK AMOUNT: $********40.00* _�; CARMEL, INDIANA 46032 1750 W HUNTSVILLE ROAD CHECK NUMBER: 245759 9M��TON c�� PENDLETON IN 46064 CHECK DATE: 06/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 12760 40.00 FOOD & BEVERAGES BOB'S ® 9 Ia.Ia.C. DELIVERY TICKET / INVOICE 12760 "I've Got Gas" 1750 W. Huntsville Road Pendleton, IN 46064 317-989-9262 * 765-778-8463 Date: email: bobsco2.@frontier.com QcflC7���iii^�lky IDS Qty. Unit Description&Hazard Class Item# Cylinders --foleme• Unit. Extended Amount Ship Ship Return Weight Amount -9- L 7: 4z o, 20 2 3 4 5 6 8 IMPORTANT hula ToTA�.Y;I PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR ON THE FREfGHT}j u REVERSE SIDE OF THIS DOCUMENT. ALL SALES ARE SUBJECT TO SUCH TERMS ANDpl:Es TA „ CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES SHIPPED AND RETURNED RENTAL CYLINDER COUNT. Please Pay From This Invoice / Delivery Ticket Your prompt payment is appreciated. TERMS AND CONDITIONS: THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS SUBJECT TO ALL OF THE CONDITIONS ASSET FORTH ON REVERSESIDE HEREOF AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES. X k0. 4 Rece' d By ign �Q X Shipped By INVOICE WHITE COPY - OFFICE INVOICE YELLOW COPY- CUSTOMER Terms and Conditions These terms and conditions represent the entire agreement between the parties hereto and there are no collateral,oral or other agreements or understands,unless expressly stipulated on this invoice. Warranties-Disclaimer: Seller warrants all cylinders,equipment or merchandise delivered herewith will meet the manufacture's standard specifications for the same of such other specification as may be expressly agreed upon in writing including any written warranty packaged with the item delivered. Sell further warrants that each item delivered will conform to the promises and affirmations of fact made on the container and label of the item by the manufacturer. Seller makes no other warranty of any kind whatsoever,express of implied and all implied warranties of merchantability and fitness for a particular purpose are hereby disclaimed by Seller and excluded from this transaction. Liabilitv: Customer understands and agrees that title to the equipment remains in the Seller,except in the case of a sale of merchandise or equipment,until such time as invoices rendered covering said merchandise or equipment are paid in full. Customer assumes all liability for damages from accident caused by or incurred in the use or transportations of said cylinders and/or equipment. Customer agrees to indemnify and hold harmless the said Seller,its officers,agents,and employees from any and all damages and/or liability to any person whomsoever arising out of or resulting from the use,storage,or transportation of said cylinders and/or equipment by the Customer of anyone else while the equipment is in the custody Y of the Customer. The Customer acknowledges receipt of the cylinders and/or equipment in good working condition and repair and agrees to return it in as good condition subject to reasonable wear and tear,and Customer shall be liable for all damage to or loss of the cylinders and/or equipment regardless of cause until it shall have been returned to,and receipted for;by the Seller. In the event of any accident involving said cylinders and/or equipment. Customer shall promptly furnish to Seller a complete report in writing,with names and addresses of witnesses and parties involved and Customer shall make all reports required by law. USE RESTRICTIONS: None of the above cylinders and/or equipment shall be sublet or loaned by the Customer,nor shall it be removed from the location of the job for which it was intended to be used as above set forth,nor shall it be removed from the county in which it was delivered to the Customer,except by prior written consent of the Seller. If the law requires the user to be licensed,the Customer shall not use nor permit use without such license. In the event of damage,breakage,or mechanical failure of said cylinders and/or equipment for any cause,Customer,at his own expense,shall forthwith return the cylinders and/or equipment to Seller. Customer is not authorized,without prior written consent of Seller,To expend any money or incur any expense for Seller's or Customer's account,for repairs to said cylinders and/or equipment,or for the refilling of said „ cylinders. Customer shall not make nor permit to be made any changes in said cylinders and/or equipment. SELLER may terminate this hiring at any time by tender to Customer of unused rent,in which event Customer shall forthwith return cylinders and/or equipment to the Seller at such place,within the County,as the Seller shall designate. Customer shall at his own expense,maintain liability and fire insurance and such other insurance as Seller may request at the time of hiring. In the event of the insolvency or bankruptcy of the Customer,or in the event the Customer violates any of the terms hereof,or files to return the cylinders and/or equipment,or in the event the cylinders and/or equipment is levied upon by any legal process,this hiring shall,without notice,immediately terminate and all right of the Customer to possession of the cylinders and/or equipment shall immediately terminate. Seller may retake the same or any part thereof with or without notice and with or without legal process, and Seller and its agents are herby authorized to go upon Customer's property and may remove impediments and may use all force necessary to retake said cylinders and/or equipment,and Customer hereby,for itself and its employees,expressly waives all damages and claims of damage or trepass,physical or pecuniary,caused by the Seller in the process of taking and removing said cylinders and/or equipment. In the event of any breach by the Customer hereunder,said Customer promises and agrees to pay all expenses of enforcement hereof and the costs of retaking said cylinders and/or equipment and the Seller shall be entitled to judgement for such expenses and for all rentals,merchandise,and damages due hereunder,and for reasonable attorney's fees and court costs. NOTICE OF NON-WAIVER: The failure by the Seller,at any one or more time,to insist upon the strict performance by the Customer of the covenants,conditions and/or terms of this agreement,shall not be construed as a waiver of Seller's right to demand strict compliance with and performance of all covenants, conditions and/or terms hereof. Notice of demand for strict compliance is hereby waived by the Customer,and time is expressly made of the essence of this agreement. RETURNED MERCHANDISE: Original invoice must accompany merchandise returned for credit. RESTOCKING: _ Restocking&handling charges will be made on regularly inventoried merchandise returned. Special order items are not subject to return for credit. LOANED OR RENTED CYLINDERS AND ITEMS: By accepting:Loaned cylinders or loaned or rented items,Buyer agrees:To return loaned cylinders to seller on demand:To be responsible for any loss of,or damage to loaned cylinders and to reimburse Seller at the current rate of charges for such loss or damage:To indemnify Seller against all loss arising out of injuries to persons or damage to property connected with the use of the loaned,or rented items specified here,the loaned cylinders,or the contents of the cylinders:to reimburse Seller for any reasonable costs and/or attorney's fees incurred by Seller in collecting payment or enforcing the terms of these conditions:to be responsible for loaned or rented items as to proper care,maintenance,loss or damage of them(normal wear excepted)until such items are returned to Seller. CUSTOMER'S REPRESENTATION OF SOLVENCY: Buyer represents to Seller that Buyer has not ceased to pay his debts in the ordinary course of business,that he can pay his debts as they become due,and that he is solvent within the meaning of the federal bankruptcy act. CLAIMS: All claims for defective mateFial,shortages and discrepancies are waived unless made in writing immediately after receipt of shipment. Any and all contracts between the parties existing at the date of the execution of this Agreement shall be deemed terminated and cancelled as of such date,except for the settlement of such rights which may have accrued there under,or may hereafter accrue there under with respect to unreturned cylinders,containers or other property. This Agreement shall be finding upon and inure to the benefit of the successors and assigns of the parties hereto. i VOUCHER NO. WARRANT NO. ALLOWED 20 Bob's CO2, L.L.0 IN SUM OF$ 1750 West Huntsville Road Pendleton, IN 46064 $40.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1207 I 12760 I 42-390.40 I $40.00 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, May 21, 2015 Director, Brookshi Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/20/15 12760 CO2 $40.00 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer